PUTNAM E N T PA – Specialist, NPI 1467648279

PUTNAM E N T PA is a healthcare provider. based in Palatka, Florida. specializing in Specialist. The organization holds a License No. ME0050554 (FL). The NPI Number for PUTNAM E N T PA is 1467648279

Main info

Organization
Name
PUTNAM E N T PA
NPI
1467648279
Phone
(386) 325-1565
Address
320 ZEAGLER DR
Authorized Official
GLENWOOD ANTONIO CHARLES PRESIDENT MD
Enumeration Date
15 September 2007
Last Update Date
2 April 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for PUTNAM E N T PA

  • 320, Zeagler Drive, Palatka, Putnam County, Florida, 32177, United States

    STE 1

    PALATKA, FL 321776851

    Phone: (386) 325-1565

    Fax: (386) 325-1571

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32177)

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Frequently asked questions

How do I look up PUTNAM E N T PA by NPI?
Use NPI 1467648279 when you need to reference PUTNAM E N T PA in forms, claims, or directories.
Does this profile mean PUTNAM E N T PA is currently active?
Yes — PUTNAM E N T PA appears active in the national provider directory.
What kind of provider is PUTNAM E N T PA?
The page reflects Other Service Providers for PUTNAM E N T PA. Clinical services aligned with this taxonomy classification.
Does PUTNAM E N T PA practice in Florida?
You will see Palatka, Florida on file for PUTNAM E N T PA alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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